Scope of practice in Primary Care: physicians and nurses in five health regions in Brazil
Abstract Objectives: The review on scopes of practice tends to gain importance in Human Resource in Health agenda in Brazil. The aim of this study was to investigate the scope of practice of physicians and nurses who work in the Atenção Primária em Saúde (APS) (Primary Healthcare) and their main ba...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Instituto Materno Infantil de Pernambuco
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| Series: | Revista Brasileira de Saúde Materno Infantil |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292017000600008&lng=en&tlng=en |
| _version_ | 1818063618516713472 |
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| author | Sabado Nicolau Girardi Ana Cristina de Sousa van Stralen Thais Viana Lauar Joana Natalia Cella Jackson Freire Araújo Célia Regina Pierantoni Cristiana Leite Carvalho |
| author_facet | Sabado Nicolau Girardi Ana Cristina de Sousa van Stralen Thais Viana Lauar Joana Natalia Cella Jackson Freire Araújo Célia Regina Pierantoni Cristiana Leite Carvalho |
| author_sort | Sabado Nicolau Girardi |
| collection | DOAJ |
| description | Abstract Objectives: The review on scopes of practice tends to gain importance in Human Resource in Health agenda in Brazil. The aim of this study was to investigate the scope of practice of physicians and nurses who work in the Atenção Primária em Saúde (APS) (Primary Healthcare) and their main barriers. Methods: this is an exploratory qualitative study conducted in 2015 and 2016, through interviews with 26 physicians and 26 nurses who work in the APS in 12 cities distributed in five Brazilian health regions. Results: physicians and nurses in the health region of the North and Northeast performed a great number of procedures, and those physicians who work in units located in rural areas. Both professional categories indicated that they knew how to carry out several procedures that were not performed in practice. The main barriers for not performing those procedures include, lack of access to exams, materials and inadequate infrastructure, protocols and city guides restrictions, legal restrictions and lack of training. Conclusions: the results suggests the need to ease the health professionals’ attributions, facilitate the integration between the professionals’ practices and optimizing their work, especially in remote and unassisted regions, in order to be in favor of expanding the access and problem solving in APS. |
| first_indexed | 2024-12-10T14:22:58Z |
| format | Article |
| id | doaj.art-ddeeb51a08ca4a2da827073bb1d8fe29 |
| institution | Directory Open Access Journal |
| issn | 1806-9304 |
| language | English |
| last_indexed | 2024-12-10T14:22:58Z |
| publisher | Instituto Materno Infantil de Pernambuco |
| record_format | Article |
| series | Revista Brasileira de Saúde Materno Infantil |
| spelling | doaj.art-ddeeb51a08ca4a2da827073bb1d8fe292022-12-22T01:45:09ZengInstituto Materno Infantil de PernambucoRevista Brasileira de Saúde Materno Infantil1806-930417suppl 1S171S18410.1590/1806-9304201700s100008S1519-38292017000600008Scope of practice in Primary Care: physicians and nurses in five health regions in BrazilSabado Nicolau GirardiAna Cristina de Sousa van StralenThais Viana LauarJoana Natalia CellaJackson Freire AraújoCélia Regina PierantoniCristiana Leite CarvalhoAbstract Objectives: The review on scopes of practice tends to gain importance in Human Resource in Health agenda in Brazil. The aim of this study was to investigate the scope of practice of physicians and nurses who work in the Atenção Primária em Saúde (APS) (Primary Healthcare) and their main barriers. Methods: this is an exploratory qualitative study conducted in 2015 and 2016, through interviews with 26 physicians and 26 nurses who work in the APS in 12 cities distributed in five Brazilian health regions. Results: physicians and nurses in the health region of the North and Northeast performed a great number of procedures, and those physicians who work in units located in rural areas. Both professional categories indicated that they knew how to carry out several procedures that were not performed in practice. The main barriers for not performing those procedures include, lack of access to exams, materials and inadequate infrastructure, protocols and city guides restrictions, legal restrictions and lack of training. Conclusions: the results suggests the need to ease the health professionals’ attributions, facilitate the integration between the professionals’ practices and optimizing their work, especially in remote and unassisted regions, in order to be in favor of expanding the access and problem solving in APS.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292017000600008&lng=en&tlng=enPrimary healthcareHuman Resource in HealthProfessional practiceHealth workforce |
| spellingShingle | Sabado Nicolau Girardi Ana Cristina de Sousa van Stralen Thais Viana Lauar Joana Natalia Cella Jackson Freire Araújo Célia Regina Pierantoni Cristiana Leite Carvalho Scope of practice in Primary Care: physicians and nurses in five health regions in Brazil Revista Brasileira de Saúde Materno Infantil Primary healthcare Human Resource in Health Professional practice Health workforce |
| title | Scope of practice in Primary Care: physicians and nurses in five health regions in Brazil |
| title_full | Scope of practice in Primary Care: physicians and nurses in five health regions in Brazil |
| title_fullStr | Scope of practice in Primary Care: physicians and nurses in five health regions in Brazil |
| title_full_unstemmed | Scope of practice in Primary Care: physicians and nurses in five health regions in Brazil |
| title_short | Scope of practice in Primary Care: physicians and nurses in five health regions in Brazil |
| title_sort | scope of practice in primary care physicians and nurses in five health regions in brazil |
| topic | Primary healthcare Human Resource in Health Professional practice Health workforce |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292017000600008&lng=en&tlng=en |
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